12140 SW MERESTONE COURT *'
12140 SW MERESTONE COURT
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TNSPEC'i ION NOTICE
City
OTICECity of Tigard Building Department
P.O. Box 23397
I igard, Oregon 97223
Phonq: 639-4175
Typo of Inspection �� -- l � �t.• _,
Date Requested
L/ 7 Time A.M. P.M.
Address 176
Permit 4.
Owner Lot
Builder
The following Buildine Code deficiencies are required to be corrected:
ZIL-2--L
----------
-40"
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YES [—J No
CITY OF TIGA R. D PERcm�Lv SITE PERMIT NO . : SISMIT
91769
COMMUNITY DEVELOPMENT CEPPRTMENT DATE ISSUEt (3/Pl /09
13125 S W,Hall Blvd-RO,Box 23397.Tigard.Oregon 97223.(503)639-4175 PRIM. PMT .NO.
JOB ADDRESS : 1.2.1.,(10 SW MIK:P'ESTONF.
TAX MAP/LOT L.T : DK :
LAND USE:
LUT SIZE :
WORK (:,L.ASS : SITEWORK
USE TYPE,. : SINGLE F'AMIL.y
`UBIG YARD!! -. 3( 0 VALUFE:
11"11.)EPV . AREA :
No fill below 169 feet elevation. Stake edges of fill and call for
inspection prior to placing any fill.
F E
0 q Fit 3.1 Vt.I-I e r, P F-r.0 11T 413 "i()
W 1.'.'1 Ali) %W M(A-res "0110 at PLAN PF"VIEW
N
E t J.get r,d or, 97223
f-'HnNr-' 1,503) 6(34-1,5661 STATE TAX 18
—7- DEVEL-OPMENT CHARGES :
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0 TOTAL: 1116U. 10
RECEIPT NO.
This permit Is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes. zoning regulations RE::QJ.JJPL-':D INSPEC'TILINS
and oil other applicable codes and ordinances, and It is hereby F.1 Nt:il-
Pgieed that the work will be done in accordance with the plans and
specifications and In compliance wit'i all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontra-tors shall have current city
busine-ie lax permits, This permit will oxpire and becume null and
,lcid If work is not started within 180days,ot if work is suspended or
abandoned for a period of 180 day!; any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved.
Pet, ittee Signature tkGr t is lk F--
Issued By Lt-:t . -F 01:1 INGPLUO'I LIN 639.!.-]1 In
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
a
C11YOFTIOADn PLAN CIIECK APPLICATION
cnrc�iw7aw PLAN CIiECK fl _
CCMMIINITY DE=(ELc7I'ME `(DEPART4MENY PERMIT It '
DATE ISSUED —
JOB ADDRESS- /�a�`� c> AX MAP/Lor —A—�
LOT- _ Lewo USE:VALUATION:
SPECIAL NUTES
OWNER r r /1�� (] REISSUE: OF: _
LAST RETSSUE _ ^
ADDRESS: FLU..J PLAID/
SF-NSIT.LVE LAND:
PEEONE: _ h'y G 6 i ►�, .2-;L x S a 6 K 6 6 7? w
APPROVALS REQUIRED
• PLMINING: A— __
CONTRACTOR ENGINEERING:
FIRE DEPT
MORESS: --- - OTHER:
---- -- �— ITEMS REQAJIREO
LIST/SUBCONTRACTORS: _--
BUS TAX: --_
ARCH/EIVGINf:FR
CALCULATIONS:
NAME: _ — _ TRUSS DETAILS:
AOORLS,S: __- - PARKING PLAN:
- - - LANDSCAPE PLAN: - --•
----... _ — --- OTHER- -
PHONE:
PERMIT H - ACCT 0 DESCRIPTION AMOUNT AMOUNT P0. BAL. DUE
10-432 00 Building Permit Fees ---- —
-----_^— 1,7-431 00 Plumbing Permit Fees -- - ---
-�
1,0 -431 01 Mechanical Permit Fees —10-130 01 State Building Tax —
Building
Plumbing
Mech
1Gs -433 00 Plans Check Fee
Building
J Plumbing
Mech __
30-2aar 00 Sewer Connection -- — - -
- ---- 30-444 00 Sewer Tnspection
51-1440 00 Street System Oev Charge (SOC) -
52-449 00 Parks System Dev Charge (PDC) _ --- ---
31-450 00 Storm Drainage Syst- Oev Chrg (SSDC) —
10-230 09 TRFD ----- - -
10-230 06 Washington County Fire ori (95x)
10-220 00 Amart/Wedgewood _
I o1 nt-
-- _—
RrC 11
nPPI-ICnMT SIl�N1YfURE
n G
Received By: f ' _ _. Date Received: `'/
cn/35871'/18P
BUILDING PERMIT APPLICATION DATE_4 ._._._ '19._ 67 Q960
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WnRK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE fi24_-_"bL—
LOT NO.
OWNER L•dward Gflllahgr JOUADDRESS_ 12140 SW Merestone Ct . _ _ __—__— _.
ARCHITECT
VD ENGINEER
BUILDER — ADDRESS _ DESIGNER
STR_UCTUHE ❑ NEW C❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE El COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCYi� LAND USE ZONE ..__BLDG.TYPE FIRE ZONE — PLAN_CHECK BY HEAT
tx:posit approx. 300 cu. yds. of fill. Stroets to be kept free of mild
debris, divst contrtol. ftp malntai.*.sled. 14^1-ntai.n 2--1 horizontal-vartica)
slopo on :11 bank edges. Hold fill a minimum 0f 34 from water's eciaQ.
SEWER PERMIT# Stake edges of fill and call for itlspec.t ioa prior to placing any fit
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES — AREA NO BEDROOMS VALUE
BUILDING DEPARTMENT SET 8%CKS FRONT REAR_ LEFT SIDE RIGHT SIDE
Permlt 29.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SFECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CON TRACTORS TO HAVE CURRENT CITY BUSINESS
1• LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Stag+Tax
Total
30.45 SDC e.. 4J ...
-----
PDC# APPLICANT OR AGENT
-
By 0— y
Receipt Nig. ' ,;, � %�i,, �.•..� W �
Approved 30„45 0.ODPESB - PHONE
rrira :r��e rssa3wlr�=Mal
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25X
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Purmit
Permit charge
2C
72
C o n n p c t i o n�few
Paid by
Date connorc Le
InOPectior, Pee
—------ Paid by
date
A
atp-
A3s9ssment Paid
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD. OREGON 97223
PHONE 639.4171
ATRACTOR.
Pursuant to Section(s) of the Uniform Building Code, the
ollo%xing itern(s) require correcting:
- -7
Permit No.
Inspect �--------
CALL FOR REINSPECTION
Q..,�„y�....�.,r^•..m•r._........_....,�..•....-►+n,,. ..-..,qw.-.�„...-�•,�..�. .�..,.q..._....,,,,.,-...-..--.+r.�-`I.--.,—r_..,a.'"�'.,Iip,P•-....-__-., w-.�._...,...._.-..,.._,...,.'...,.......,. .-........,___N..
6 3
BUILDING PERMIT APPLICATION C1TYow TIGARD DATE 6-7k,-_
THE UNDERSIGNED HERESY APPL IES FOR APERMIT I OR THE WORK HEREIN INDICATED BUILDER
ER PHO.
OR AS SHOWN AND APPROVED IN ME ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERLOT __O. -----
OWNER .1Crrlfi7 t^L)i wer JOB ADDRESS �. � �! Ifi(i HOME ADDRESS
ARCHITECT
ENGINEF_R
BUILDER " ADDRESS ___ DESIGNER
M
STRUCTURE ,.DNEW ❑REDOEL _ ❑ADDIITI1ION ❑REPAIR��11 ❑RENEWAL ❑FIRE DAMAGE [:]DEMOLITION
EYRESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T LJ RELIGIOUS OPATIO OCARPORT ❑GARAGE ❑STORAGE❑ ❑
SLAB FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED — OF
OCCUPANCY LAND USE ZONE — BLDG.TYPE FIRE ZONE.3 PLAN CHECK BY rBtw HEAT
c,jr,-at ,tamilY 4wellinyl hilllldr,� ` Ostia
.rilatj flout lcoval to Leat lu inchme
it IN ma An r
esoweer permit
OC��LQ9L _____ F1�Dli�OACJ 40 HEI ti-L_._2LI.-- N9.-5-I.QBIES 2 _.AEP2 VA NO..@ElZ_N-QMI--a- VALUE_`-,i .h7=-
BUILDING DEPARTMENT 5ET BACKS FRONT g l REAR LEFT SIDE j E}_ RIGHT SIDE _
Permit
1 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check ,7" -jo REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 292+ LJf) ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
r• � RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO NAVE CURRENT CITY BUSINESS
State Wax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING ANO HEATING.
a.G.C. $400.
Total 3 �• � iJ.D.Ca >`1 b f1C�.
By ApPIICANT 0i1 AGENT
Zm'nved Receipt No.
v
DATE INSP. T rC VIVRvECTION REMARKS -� PLUMBING DATE
Contractor A
—r-- Permit No x �"
Rough-in
!�l— 39Si�1aw7► OSIS a. - Fhttura�_ � --
` Final
HEATING
Contractor
ZM
/O
Gas or Oil
Rough-in
Final -
11Z-6SEWER
Final
DRIVEWAY
—v -- Final
Storni Drainags
(Rain Drain)Final
Sidewalk
T� a Curb 81 Street Final
Approach
0 LDG.DEPT.PINAI_J TtMPORARY CERTIFICATE OCCUPANCY Finni
CERTIr1CATE OCCUPANCY --
Landscaping
Zoning Final
w w lu A w Ile w
SEWER PERMIT • 15966
ul
0JUnifiedSewccageAgency Tigard 6-28--78
'
of Washington aunty CITY OF DATE
OWNER& John Loewer PHONE .
OWNER 'S ADDRESS: _
TYPE OF INSTALLATION:
)0,'BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
}❑ NEW XT9 SINGLE FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIOR TO 7-1-70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIX,-TURF UNITS DWELLING UNITS _--j
ADDRESS OF STRUCTURE : 121 /An S11 merestane Ct.�_ _
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THF UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION ,
PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR .
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE: Rnn_
SIDE SEWER INSTALLATION ,g_ fraena
ISSUED BY
OTHER
TOTAL $ 625•
/ APPLICANT DATE
SEWER PERMIT N� � 5sss
ADDRFSS OF STRUCTURE 121.40 SW Merestone Ct.
TAX MAP TAX LOT SYSTEM fanno creek
LOT 12 BLOCK OF
—� W,a1 lip[1 _ 6-2e-76
APPROVED BY DATE ISSUED B DATE
D. U. 'S 1 REMARKS jLk 2163 Paid to Laron Heights. $150. 00
lIT
No
BUILDING PERMIT APPLICATION Y TlGo�,RDDATIF
OF HEREIN INDICATED EIUILDERPHONE-��-
Li Llf� )I WC'I(-,NED HEREBY APPLIES FOR APERMiT FOR THE WORK HER OWNER PHONE
L' ' '
1) - LOT NO
S SH, WN D APPROVED 'IN 'THE ACCOMPANYING PLANS AND SPFCIFICAIIONS.
HITECT
ENGINEER
ADDRESS DESIGNER
oRE9(% W RE MODEL 0ADDI-TION ❑REPAIR 0krNEWAL OFIRE DAMAGE DDEMOLITION
DINC.F DEDUCATIONAL 0G0V-T [3RFLIClOUJ:1PA-VI0 OCAr POHT [:)GARAGE [3STC)RAGECISLAS C.-ENCE
!H'IND ❑mov I NG 000NDITIONAL USE ODLSIGN REVIEW [:]COUNCIL APPROVED CIS(GNS
PLAN CHECK BY...=�- -� HEAT.----=
T—BLDG 7 PE FIRE ZONE
Y M- L N,-C U 0 J
A
F - R- WAD-
Lo0
APTMENT 02- ��LFFI�SIDE RIGHT SIDE
BUILDING DEP EF FRONT
BAC.KS
i J THIS PERMIT 19 ISSUED SUBJECT TO THE r!GULATIONS CONTAINED IN THE, BUILDING CODE, ZONING
7 APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
"Ian Check REGULAIIDNS AND ALL APPI. HE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
WORK WILL BE DONE IN ACCORDANCE WITH I
Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
)3LSTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACIUMS TO HAVE CUnRE01 CITY BUSINESS
!,)late La LICENSE SEPARATE Pf RMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
T
Total 6
by APPL I
Approved Receipt No.
lilt"z"k- to c,,,t—v
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(,t,prOF I'LAN CHLCK NU.
for inspect ions call 639 -4175
PERMIT N0.
CITY OF TIGARO 659-4171 DATEto
BUILDING PEINMIT '- _
P.O. Box 23397, Tigard OR 9 7123 TAX MAP �S � LOT NO 3L � SUODIVISION
JOB ADDRESS��
OWNER ciy`Gc.-t�P �-- �a-� �' .�G� /�'I.el.���rr�
STATE REG.NO. __ EXP.OATE
BUILOCR —
BUILDER'S PHONE Cjf G G
ARCHITECT PHONE___ __—OTHER
STRUCTURE _ O NEW C) REMOOLL M O ADDITION O RCPAIR O MOVE O OTHER L) DEMOLITION
O RESIDENCE 0 00MM� O EDUCA11014, ❑ IND ❑ RELIGIOUS, O ACCESSORY U GARAGE O THEA0 FENCE
OCCUPANCY _. LAND USE ZONE BLOW-TYPE FIRE ZANE___PLAN CHECK BHEAT
Y ,� __— -- _
SEWERPERWI I
O(X:.LOAD' FLOOR LOAD HEIGH_TNO.STORIES AREA NO.BEDROOMS _ VALUE
BUILC .JOEPARTMENT_ SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILOINO COOS, ZONING
RE(]ULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HEREBY AGREED THAT THE
PEa Chock WOhK WILL Be DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
— WrM ALL APPLICABLE CODES AND ORDINANCES,, THE ISSUANCE OF THIS PERMIT DOES NOT WAIM E
Pl.l;k.Fki RESTRK;TIVE I.OVENANTS.CONTRACTOR A1.D SUB CONTRACTORS TO HAVE CIIRRENT CITY BUSINESS
—"` TAX PERMITS-SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING ANO HFATINQ
Slate Tax S SOC
SOC—
Total _f - APPIICANTOIiAGENT
! PDC_v
Rece4Pl No ADDRESS
-- --- --�.._ PHONE
FTaI.Due
,.,,)RECEIPT N
0C _- �� - zri ✓4Tr d Ibl1 rrlGL- DATE PD. _
WER CONNECTION 5 'ry 'BG'iPGr4eM::1 AMOUNT
GA)G,1�
1A) A QL-A5 ftnik
WCR INSPECTION S _ Tats C-1WI..Orla . 1_4UR_A
- _ /1/A,l F1A1r,- JAG AJ _"a /r1#P5
WEA SURCHARGE S -- Tfl MA t ejn 4rF?-fP wl Oft 6 /
FJC-.1.- L�'GAT t o A) /w t h(J O
,.,44, 4-
etccw�j
qer #nr 'ar +w' I■Ilra W
�. I Lyell u rv�t,�rlc�rllL_Irl r t I ;r1I1 ....,..._..__ , ....,,._.__...
Fee,
r ' f Re:,face ❑ Relocation ❑ .'�(�'+.;iUn •_7 Ali�•reliUn
Nei: I ,s�al;a.,on
�j TOTAL
C::?:TP,t►CTOR �fL� << ��1_ 'I/9L Ci'," FR Avljl -
ADOf+►`S• 1� S/�_._fr l` -- � —�-� �— WORK
�iA�DbRESC 0 We
_ PHONE ` r rL�3 / APPLICANT-
Heat Input Rating (BTU Per Huur) [�T— �%ent :ire _...__.��� F Size_,1", —
FUEL OIL ❑ GAS f ELECT ❑ OTHER
ITEM NO. FEE ITEM NO. FETE
- For Issuance of Permit !^ / ��3.00 _ — Air Condition Compressor 15 to 30HP 1Q.D
New•Under 100,000 BTU —�� 4A_0 _Air Handling_10,_000_CFM -3.6
New• 100,000 BTU& over � ,��00 •'Air Handling Over 10,_000 CFM
Floor Furnace —� 4.00 Evaporative Cooler _ - _L 3.Of
.`1 Wall - Floor •Suspended _ _ _ 4.00 Range Vent Fan
Install Vents OnlyW _ _ _2.00 Vent System_ _ 3.0.Flepair• Heat & Cooling �r 4.00 Hood Commercial__ _ _ -� 3.0
Air Condition Compressor Under 3 HP �+ 4.00 Con,mcrcial Duct System -
_ _ 10.0'
Air Condition Crrnpressor 3 to 15 NP 7.50 _
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REOI!iRED FOR ALL CONTRAM ORS OR SLJB-CONTRA:.
eN-
-+= APPROVED BY DATE _ _ ISSUED BY� _ DATE
-" RECEIPT NO.
Signature of Applicant --�- �- - -